NPI age
7 years
Enumerated 2019-03-08
Across 4309 active dentist providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | DN015901 | DENTAL LICENSE |
Part of a multi-provider practice. 136 other active providers share this practice address in NPPES.
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